Irwin Kennon DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10582 Issued in MA

Legal business name

IRWIN KENNON DMD INC

Practice address

63 Prospect Street
Taunton, MA 02780-3432

Phone

(508) 823-1550

Fax

(508) 823-2886

NPI assigned

Jun 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Irwin Kennon, DMDNPI 1366410573

Title

Owner Dentist

Phone

(508) 823-1550

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irwin Kennon, DMD

  • Dentist
  • Taunton, MA
  • NPI 1366410573
  NPD (past) Authorized official
• Ann T Kennon, DMD

  • Dentist
  • Taunton, MA
  • NPI 1700854841
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1730385444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PROSPECT STREET",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803432",
            "telephone_number": "508-823-1550",
            "fax_number": "508-823-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PROSPECT STREET",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803432",
            "telephone_number": "508-823-1550",
            "fax_number": "508-823-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRWIN KENNON DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "KENNON",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "508-823-1550",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "10582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Taunton, MA
• Providers in Taunton, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.